- UPMC (Wexford, PA)
- UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to assist Tri-Rivers Musculoskeletal Centers located in Wexford. The ... hybrid work schedule. Purpose: To perform authorization activities of inpatient, outpatient and emergency department patients, denial management and all revenue… more
- UPMC (Pittsburgh, PA)
- University of Pittsburgh Physicians is hiring an Authorization Specialist to help support Plastic Surgery. This position is a part-time position with daylight hours, ... Monday-Friday. Purpose: To perform authorization activities of inpatient, outpatient and emergency department patients, denial management and all revenue functions.… more
- St. Luke's University Health Network (Allentown, PA)
- …necessity and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may ... we serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical… more
- UPMC (Pittsburgh, PA)
- …If so, we want you to be part of our team as an Authorization Specialist at UPMC Hillman Cancer Center! At UPMC, we're committed to providing exceptional oncology ... care to our community. As an Authorization Specialist , you'll play a vital role in ensuring that patients have access to the care they deserve. Our team is dedicated… more
- UPMC (Pittsburgh, PA)
- …Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's Hospital of ... determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and drugs in… more
- Penn Medicine (Lititz, PA)
- … coding , medical terminology, anatomy and physiology. + Certification as a Certified Coding Specialist CCS or Certified Coding Specialist -Physician ... Certified Professional Coder CPC , or Certified Professional Coder-Hospital Outpatient COC . If not certified, coding ...Coder-Hospital Outpatient COC . If not certified, coding certification is required within three 3 years of… more
- Penn Medicine (Lititz, PA)
- …analysis and or CPT coding principles guidelines. + Certification as a Certified Coding Specialist CCS or Certified Coding Specialist -Physician CCS-P ... Summary: : Codes and abstracts information from inpatient and outpatient records by careful analysis and adherence to official....Must meet one of the following criteria: + Certified Coding Specialist CCS and or AAPC Certifications… more
- WellSpan Health (Chambersburg, PA)
- …entails. Qualifications and Standards Education: Formal Education and Training - - Certified Coding Specialist (CCS) with at least one year of acute care ... higher. 9. Assigns appropriate first-listed and secondary CPT/HCPCS and modifiers for outpatient procedures according to CPT and OCE/NCCI coding guidelines with… more
- CVS Health (PA)
- …5 years for CPC. + CPC (Certified Professional Coder) **or** CCS-P (Certified Coding Specialist -Physician) and CRC (Certified Risk Adjustment Coder) required. + ... highlighting findings, recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with project deadlines… more
- UPMC (Pittsburgh, PA)
- …and with other departments. **Licensure, Certifications, and Clearances:** (Preferred) + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) + ... APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient / outpatient , DRG prospective payment… more
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